§424.126. Payment to the hospital.
42 C.F.R. § 424.126
Conditions for payment. Medicare pays the hospital if it—
Has in effect an election that—
Meets the requirements set forth in § 424.104; and
Reflects the hospital's intent to claim for all covered services furnished during a calendar year.
Submits evidence requested by CMS to establish that the services meet the requirements of this subpart.
Amount of payment. Payment is made (in accordance with § 413.74 of this chapter) on the basis of 100 percent of the hospital's customary charges, subject to the applicable deductible and coinsurance provisions set forth elsewhere in this chapter.
Notes, amendments, and revision history
Authority
Authority: 42 U.S.C. 1302 and 1395hh.
Source
Source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.